Individual provider Active NPI

Abigail Lue, PT, DPT

  • Physical Therapist
  • Allston, MA
National Provider Identifier
1497578736
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26713 Issued in MA
Practice address
100 N Beacon St
Allston, MA 02134-1928
Phone
(617) 726-9700
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64783 OR
Physical Therapist 225100000X 26713 MA Primary

Addresses

Primary practice location

100 N Beacon St
Allston, MA 02134-1928

Mailing address

15495 SW Sparrow Loop Unit 101
Beaverton, OR 97007-9273
Phone (503) 935-6788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410000029 FL Practitioner - Physical Therapist in Private Practice 8123542263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Axispro Physical Therapy LLCGroup PAC ID 5395035158, 9 clinicians
Physical Therapy Professionals LLCGroup PAC ID 2567461825, 14 clinicians

Practice addresses (Care Compare)

760 Barnes Blvd
Suite 103
Rockledge, FL 32955-5314
Phone (321) 327-8509

8045 Spyglass Hill Rd
Suite 103
Melbourne, FL 32940-8567
Phone (321) 757-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26713MAMDPhysical Therapist
64783ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Axispro Physical Therapy LLC CurrentSince Mar 26, 2025 Accepting new patients
Physical Therapy Professionals, LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients

Locations

8045 Spyglass Hill Rd
Ste 103
Melbourne, FL 32940
Phone (321) 757-5515

405 N Wickham Rd
Ste 103
Melbourne, FL 32935
Phone (321) 327-8509

5240 Babcock St NE
Ste 102
Palm Bay, FL 32905
Phone (321) 327-8509

470 Malabar Rd SE
Unit 102
Palm Bay, FL 32907
Phone (321) 591-4369

760 Barnes Blvd
Ste 103
Rockledge, FL 32955
Phone (321) 327-8509

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1497578736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15495 SW SPARROW LOOP UNIT 101",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079273",
            "telephone_number": "503-935-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BEACON ST",
            "city": "ALLSTON",
            "state": "MA",
            "postal_code": "021341928",
            "telephone_number": "617-726-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUE",
        "first_name": "ABIGAIL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64783",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.